Dermatology Associates & Surgery Center

CLIA Laboratory Citation Details

1
Total Citation
4
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 51D2042758
Address 300 Prosperity Lane Suite 207, Logan, WV, 25601
City Logan
State WV
Zip Code25601
Phone(304) 752-8202

Citation History (1 survey)

Survey - November 17, 2022

Survey Type: Standard

Survey Event ID: HBR911

Deficiency Tags: D0000 D5417 D0000 D5417

Summary:

Summary Statement of Deficiencies D0000 An announced, on site, routine recertification survey was conducted at Dermatology Associates & Surgery Center on November 17, 2022, by the West Virginia Office of Laboratory Services. The laboratory was assessed for compliance with the Federal Clinical Laboratory Improvement Amendments (CLIA) regulations under 42 CFR 493. Specific deficiencies are explained below. D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(d) Reagents, solutions, culture media, control materials, calibration materials, and other supplies must not be used when they have exceeded their expiration date, have deteriorated, or are of substandard quality. This STANDARD is not met as evidenced by: Based on record review, observation, and interview the laboratory failed to ensure that reagents used in the staining process were not expired for one of 6 reagents utilized. Findings: 1. A review of reagent log records identified lot #155275 of Eosin reagent with an expiration date of 7/31/2024 documented as the current lot in use. 2. A tour of the laboratory identified lot #098060 of Eosin reagent with an expiration date of 4/30 /2022 as the opened, current lot in use for the H&E staining process. Lot #155275 of Eosin reagent was sealed. 3. An interview with the laboratory manager, 11/17/22 at approximately 10:30 AM, confirmed the findings. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 1 --

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